V O L U M E 9 , I S S U E 3 S U M M E R 2 0 1 2

WVBCCSP

Provider Press

I NS ID E THI S

I SSU E:

Partnerships 1

Director’s

Dialog 2

Information

Updates 3, 4

New WVBCCSP

Eligibility 5, 6

Healthy Recipe 7

PHNPAT Update 8

WHIPs Update 9

Partnership: Agents

of Hope 10

Partnership:

Komen Grants 11

Continuing

Nursing Education

Offered

12

Partnerships: Supporting One

Another For A Common Goal

The West Virginia Breast and Cervical Cancer Screening Program (WVBCCSP) is

not an entity that stands alone. Strong, collaborative partnerships at the national,

state, and local levels are essential to providing underserved women access to

life-saving screening services that will improve health outcomes and quality of life.

Without its partners, the program’s success and effectiveness would be impossible.

Major health problems affecting West Virginia women, including breast and cervical

cancer, result from a complex combination of medical, social, cultural, and systemic

causes. It is through partnerships that the program is able to assist in preventing

these causes. Our common goal is to create a healthier life for all West Virginians.

The WVBCCSP is fortunate to have a diverse and extensive network of partners

throughout the state. Working with these partners in our shared goal of disease

prevention allows for a more effective use of resources, builds on the strengths and

differences of the various organizations, and ideally achieves what no one

organization can do alone.

Two partners are highlighted in this issue of The Provider Press: Agents of Hope and

Susan G. Komen For the Cure, WV Affiliate. With the support of national, regional,

and state groups and societies, academic institutions, providers, and volunteers,

reaching and screening more West Virginia women becomes a reality. We extend

our appreciation to all our partners.

Welcome New

Staff Members 13

Image from FreeDigitalPhotos.net

222 PROVIDER PRESS

Director’s Dialog: The Road Director’s Dialog: The Road Director’s Dialog: The Road

We’ve TravelledWe’ve TravelledWe’ve Travelled

It was great seeing so many of our providers at the three Women’s Health

Information Programs (WHIPs) held in May and June. We really appreciate the

effort it took for each of you to arrange your professional and personal lives to be

able to attend. The theme of my presentation was “The Road We’ve Travelled…”

and I highlighted many of the national and state program accomplishments over

the past two decades. I also shared with you what we know about the direction for

the WV Breast and Cervical/WISEWOMAN Programs in the years ahead. The

quote: “Blessed are the flexible for they shall not be bent out of shape,” by

Howard Koh, MD, MPH, Assistant Secretary for Health, US Department of

Health and Human Services, seems especially relevant as we try to make sense

out of the current health care reform process. I have learned along the way that

change does not move in straight lines or in predictable directions. Things

sometimes get messy and seem unfocused, but if we keep engaged in a process to

share our ideas and resources, we will discover the solutions and paths to a

healthier future.

Effective multi-sector partnerships are essential to moving beyond the traditional

silos of diseases and categorical funding. As we get better at collaboration with a

broader stakeholder base, and become more inclusive in our efforts to reach out to

larger populations, we will be able to create communities in which health will

flourish. We are seeing examples of this all across West Virginia with the

expanded development of community gardens, walking-biking trails, farmers

markets, more nutritious school lunches, and groups of co-workers, neighbors and

families exercising together and supporting each other to improve their health. As

we continue to realize how intrinsically connected we are to one another, we are

reminded that by helping ourselves we are better able to help others and to keep

moving forward one collective step at a time. Thanks for sharing the road with

us…we look forward to the journey ahead.

WVBCCSP Director

GeorgeAnn Grubb,

MPH

Contact Information:

Georgeann.Grubb@wv.gov

304.558.5388

1.800.642.8522

–Howard Koh, MD, MPH, Assistant Secretary for Health, U.S. Department of Health and Human Services

“Blessed are the flexible for they shall not be bent out of shape.”

333 PROVIDER PRESS

WVBCCSP Eligibility for Screening Services: Effective 6/30/2012WVBCCSP Eligibility for Screening Services: Effective 6/30/2012WVBCCSP Eligibility for Screening Services: Effective 6/30/2012

Patient Eligibility for Screening Services:

25-64 years of age

West Virginia resident- female

Income at or below 200% of the current Federal Poverty Level

Uninsured

OR

Underinsured

Medical insurance does not cover WVBCCSP screening services

OR

Has an unmet deductible or a required co-payment causing hardship for

services covered by WVBCCSP

WVBCCSP and WISEWOMAN:

Provider & Policy Reminders

FollowFollowFollow---Up to PostUp to PostUp to Post---Hysterectomy Hysterectomy Hysterectomy

Pap TestPap TestPap Test

WVBCCSP will reimburse for a Pap test as part

of the initial exam, which allows the provider to

determine if the woman has a cervix

post-hysterectomy. If the woman does not have a

cervix, the initial exam Pap test result is

abnormal, and the hysterectomy was not due to

cervical dysplasia, WVBCCSP will NOT

reimburse for a colposcopy.

Screening Mammogram EligibilityScreening Mammogram EligibilityScreening Mammogram Eligibility

50-64 years of age

40-49 years of age with a documented *high

risk factor

No one under 40 years is eligible for a

WVBCCSP funded screening mammogram

*High Risk Factors (for Screening *High Risk Factors (for Screening *High Risk Factors (for Screening

Mammogram Eligibility)Mammogram Eligibility)Mammogram Eligibility)

Personal history of breast cancer

Family history of breast cancer

Never had children

First child born after age 30

Abnormal breast biopsy result

Please note: a previous breast biopsy is not a

high risk factor.

WVBCCSP Colposcopy EligibilityWVBCCSP Colposcopy EligibilityWVBCCSP Colposcopy Eligibility

For 18For 18For 18---24 Year Olds24 Year Olds24 Year Olds

Pap results within previous 6 months:

ACS-H

HSIL

AGC

Adenocarcinoma

Squamous Cell Carcinoma

444 PROVIDER PRESS

Magnetic Resonance Imaging (MRI) PolicyMagnetic Resonance Imaging (MRI) PolicyMagnetic Resonance Imaging (MRI) Policy

WVBCCSP cannot reimburse for Magnetic Resonance Imaging (MRI). If it is

recommended by a surgeon or radiologist and performed, the woman should be told

she will be responsible for the cost this service.

WVBCCSP and WISEWOMAN:

Provider & Policy Reminders

WVBCCSP INFORMATION UPDATE

The WVBCCSP/WISEWOMAN Program’s grant year ends June 29, 2012. All invoices for dates of

service between June 30, 2011 and June 29, 2012 must be submitted to the WVBCCSP/

WISEWOMAN Program no later than August 31, 2012. Invoices submitted after August 31, 2012

will be returned unpaid.

The requirement that invoices must be submitted within sixty (60) days of the date of service is

outlined in your WVBCCSP/WISEWOMAN Memorandum of Understanding. At other times of the

year, we can provide some flexibility with this requirement, but our ability to close out our grant

with the Centers for Disease Control and Prevention (CDC) is contingent upon timely submission

of provider invoices to the Program.

We appreciate your cooperation with this request. Please feel free to contact us at (304) 558-5388

should you have additional questions.

WISEWOMAN Conference CallsWISEWOMAN Conference CallsWISEWOMAN Conference Calls

All WV WISEWOMAN Providers are reminded that information concerning the quarterly

conference calls is mailed one week prior to the date of the call. The quarterly provider

conference calls for the remainder of 2012 will be held on:

September 26

December 19

Your participation is strongly encouraged!

555 PROVIDER PRESS

New WVBCCSP Eligibility

Effective June 30, 2012, a woman MUST be a West Virginia resident to be eligible for services to be reimbursed by

the WVBCCSP. The National Breast and Cervical Cancer Early Detection Program (NBCCEDP) administered by

the Centers for Disease Control (CDC) experienced budget cuts for the 2012-13 grant year that decreased the funds

available to the grantees including the West Virginia Program. In order to maintain the quality breast and cervical

screening services currently available to eligible West Virginia women, the WVBCCSP will no longer be

reimbursing for any screening or diagnostic services for women who do not reside in West Virginia beginning with

the 2012-13 grant year that starts on June 30, 2012. There will be no exceptions for out of state women who have

previously been screened with WVBCCSP funds. There will be no “grand-mothering” a woman for WVBCCSP

eligibility. This includes any women enrolled in the West Virginia WISEWOMAN Program. Please contact

WVBCCSP/WISEWOMAN staff at 304-558-5388 if you have questions about eligibility.

Due to the fact each federally funded NBCCEDP grantee determines their own eligibility guidelines, you or the

woman should contact her state NBCCEDP funded program to see if she can receive services in her home state. Do

not assume a woman who has been eligible for WVBCCSP will be eligible for the NBCCEDP in their state. Contact

information for the states that border West Virginia are listed below:

KENTUCKY:

Kentucky Women's Cancer Screening Program Cabinet

for Health and Family Services

Division of Women's Physical and Mental Health

Department of Public Health

275 East Main Street, HS2GW-A

Frankfort, KY 40621–0001

1 (800) 462-6122 or 1 (800) 4-CANCER

(502) 564-3236

Fax: (502) 564-1552

MARYLAND:

Breast and Cervical Cancer Screening Program

Center for Cancer Surveillance and Control

Maryland Department of Health and Mental Hygiene

201 West Preston Street, Third Floor

Baltimore, MD 21201

1 (800) 477-9774

1 (800) 477-9774

Fax: (410) 333-7279

PENNSYLVANIA:

Healthy Woman Program

Pennsylvania Department of Health

Room 1011 Health and Welfare Building

Harrisburg, PA 17120

1 (800) 215-7494

Fax: (717) 772-0608

VIRGINIA:

Every Woman's Life

Virginia Department of Health

109 Governor Street, 8th Floor

Richmond, VA 23219

1 (866) 395-4968 (in state)

(804) 864-8204

Fax: (804) 864-7763

OHIO: See regional enrollment map on page 6

Breast and Cervical Cancer Project

Ohio Department of Health

246 North High Street

Columbus, OH 43215

1 (800) 4-CANCER

(614) 728-2177

Fax: (614) 564-2409

INTERACTIVE Website for all NBCCEDP funded

Programs: http://apps.nccd.cdc.gov/dcpc_Programs/

default.aspx?NPID=1

666 PROVIDER PRESS

To access the Ohio Regional Enrollment map go to:

http://www.odh.ohio.gov/odhprograms/hprr/bc_canc/enrollags.aspx

777 PROVIDER PRESS

Healthy Recipe:

Southwestern Chicken Salad

By Fiona Haynes, About.com Guide

Ingredients: 1/4 cup fat-free mayonnaise

1/4 cup plain, non-fat yogurt, drained

1 tsp lime juice

1 1/2 tsp cumin, or to taste

2 cups chopped cooked skinless chicken breast

1/2 cup chopped red pepper

1/2 cup black beans, drained

1/2 cup sweet corn, thawed if frozen, or drained if canned

1/4 cup red onion, finely chopped

1 medium tomato, chopped

Preparation: In a small bowl, blend mayonnaise, yogurt, lime juice and cumin. In a separate bowl, combine

chicken, pepper, black beans, sweet corn, red onion and tomato. Stir in dressing. Serve on a bed of

spinach leaves or make a wrap using a low fat, whole wheat tortilla.

Nutritional Information:

Per Serving: Calories 166, Calories from Fat 16, Total

Fat 1.9g (sat 0.3), Cholesterol 51mg, Sodium 245mg,

Carbohydrate 14.6g, Fiber 2.7g, Protein 22.8g

Serves 4

This is a great way to use a rotisserie chicken. Most

of the other ingredients are probably in your pantry or

refrigerator already, making this a snap to prepare.

It's hard to believe the creamy dressing is fat free, so

indulge without feeling guilty.

888 PROVIDER PRESS

PHNPAT 2012 UpdatePHNPAT 2012 UpdatePHNPAT 2012 Update

This Spring nurses from all around the state traveled to Morgantown to attend the Public Health Nurses Physical

Assessment Training and Refresher (PHNPAT/PHNPATR) courses. During the three day training, held April 3-5 at

the Erikson Alumni Center in Morgantown, participants received training from experienced medical staff and

health professionals. They learned about the anatomy and physiology of the breast and pelvic area, menopause,

HPV, clinical trials, and more. PHNPAT also provided the registered nurses with hands-on clinical experience they

need to perform Pap tests, pelvic exams, and clinical breast exams in their local clinics and hospitals. Nurses play

an increasingly important role in the cancer screening process, as well as in the diagnosis and treatment of cancer.

Cancer screening is an important tool to help prevent cancer or detect cancer in its early stages, when treatment may

be more successful. West Virginia is one of the most rural states in the country, leaving many communities

underserved. PHNPAT certified nurses help alleviate some of the barriers that providers face in offering much

needed screening services in clinics throughout the state. They are trained to provide WVBCCSP patients with Pap

tests, pelvic exams, and clinical breast exams; saving both time and money when a doctor or other qualified health

professional is unavailable.

This year, nine nurses are seeking certification. Our Program looks forward to the continuation of this valuable

training and the participation of many clinic staff.

PHNPAT participants focus on speakers during PHNPAT

PLEASE NOTE THAT NURSES CERTIFIED IN 2008

ARE REQUIRED TO ATTEND PHNPAT/PHNPATR

IN SPRING 2013

999 PROVIDER PRESS

WHIPs participants listening to the afternoon speakers.

The Women’s Health Information Programs, formerly known as BCCIPs and now called WHIPs, was offered

in three areas of the state. WHIPs, a one day WVBCCSP/WISEWOMAN Provider training, was held at

Embassy Suites in Charleston, Tamarack in Beckley, and the Erikson Alumni Center in Morgantown.

Approximately 300 nurses, physicians’assistants, doctors, and other health care providers attended the 2012

WHIPs sessions.

The morning started out with Program updates from the WVBCCSP and WISEWOMAN staff. Future

directions of the Program were discussed as well as taking a look back at the history of the Program.

Participants learned some program statistics, WISEWOMAN Lifestyle Intervention, and clinical updates. They

were introduced to recently developed screening tools, handouts that help simplify breast and cervical cancer

screening issues.

The afternoon training included three educational sessions, presented by content experts. Dr. Angel Smothers, a

Nursing Instructor at West Virginia University, spoke about cardiac disease in WV women. She challenged

providers to learn to recognize the signs and symptoms of heart disease in women, as well as the importance of

educating patients on modifiable risk factors and the prevention of heart disease. Kathy Danberry, the Tobacco

Cessation Program Manager for the WV Division of Tobacco Prevention, presented information related to the

tobacco issues that face WV residents, as well as their healthcare providers. Finally Caroline Schlatt, Program

Coordinator of the WV Ovarian Cancer Initiative, shared information with providers about ovarian cancer. She

discussed the signs and symptoms of ovarian cancer, ways to reduce ovarian cancer risk, treatment options, and

resources available for ovarian cancer.

The day concluded with one clinic at each training winning a door prize.

WHIPs 2012 UpdateWHIPs 2012 UpdateWHIPs 2012 Update

101010 PROVIDER PRESS

Right: The “Tree of Hope” is

full of leaves with names of

people touched by cancer.

Mountains of Hope (MOH), is West Virginia’s Comprehensive Cancer Coalition, comprised of health care

professionals, volunteers, cancer survivors, and community advocates from across West Virginia. Coalition

members meet on a quarterly basis in the Charleston area and work together to implement the goals and objectives

outlined in the state’s comprehensive cancer plan. Agents of Hope (AOH) are community volunteers who actively

promote cancer awareness in their local communities and support and promote the mission and vision of MOH.

AOH encourage positive behavior change, especially in rural and isolated communities.

The 11th annual AOH Celebration was incorporated into the April 26, 2012 MOH meeting. It was held at

Embassy Suites in Charleston, WV.

This year's them was "Growing the Coalition" and included presentations that reminded the attendees how the

coalition started, its current status, and a look ahead to the future.

During the meeting attendees were asked to write the names of people touched by cancer on paper leaves and

place them on the "Tree of Hope". After all of the names were placed on the tree it became a powerful visual of

why the efforts of MOH are so important and gave a renewed strength and sense of purpose as the new coalition

year begins. Julie Hewitt, one of the guest speakers, shared her personal experience, as a cancer survivor. Incorporating the AOH event into a meeting allowed for the event to be a celebration of all MOH activities and a

recognition of the AOH. Twenty-two AOH attended the event with a total of 58 people in attendance.

Agents of Hope Members Attending the Agents of Hope Celebration, April 26, 2012:

Elizabeth Ayers, Marcia Mullins, Jim Harris, Teresa Mills, Tia Biro, Jackie Weeks, Kathy Helmick, Cathy Davis, Tamara Hartman,

Rebecca Newhouse, Brenda Harlow, Patty Davis, Vickie Burke, Doug Milgram, Grace Gmeindl, Devena Moore, Debbie

Schoonover, Jean Tenney, Angel Green, Julie Hewitt

Left: Angel Green, Agent of

Hope from Webster County,

adds a leaf to the “Tree of

Hope.”

Partnership UpdatesPartnership UpdatesPartnership Updates———Agents of HopeAgents of HopeAgents of Hope

111111 PROVIDER PRESS

Susan G. Komen for the Cure, WV Affiliate, announced the 2012-2013 grant awardees at an Awards

Luncheon in Charleston on April 11, 2012. Awardees received information related to the WV Affiliate,

Race for the Cure, the Komen Mission, educational materials available online, and the grant process.

Grants were awarded to: Camden Clark Medical Center, Jackson General Hospital, McDowell County

FACES, Robert C. Byrd Clinic, WV Health Right in Charleston, Wheeling Hospital, Bonnie’s Bus, and

Mary Babb Randolph Cancer Center on behalf of the WV Cancer Clinical Trials Network. Projects

funded by the grants include providing mammograms and ultrasounds to low income women, raising

awareness about breast health and breast cancer screening through education, addressing breast cancer

survivorship issues, and trainings to be offered related to the oncology clinical trials network.

In the picture below, Komen grant awardee were each presented a check, for their 2012-2013 grant

projects.

Back row from left: Ann Hyre, WV Health Right, Inc.; Kim Couch & Terri Richards, Camden Clark

Medical Center; Jim Keresztury, Oncology Clinical Trials Network; Kim Estep & Melissa Wickline,

Robert C. Byrd Clinic; and Shelia Muncy, McDowell County FACES. Front row from left: Sara Jane

Gainor, Bonnie’s Bus; Debbie Radosevich, Wheeling Hospital; and Trinity Swain, Jackson General

Hospital.

Partnership Updates Partnership Updates Partnership Updates ––– Susan G. Komen Susan G. Komen Susan G. Komen

for the Cure, WV Affiliatefor the Cure, WV Affiliatefor the Cure, WV Affiliate

121212 PROVIDER PRESS

The Nurse Oncology Education Program is offering two free evidence-based webinars about ovarian

cancer to nurses. Participating in the webinars, nurses will:

Recognize the subtle signs and symptoms associated with ovarian cancer

Understand the basics of ovarian cancer treatment

Hear stories presented by ovarian cancer survivors

These interactive webinars are informative, free, and offered online. Go to www.noep.org to register

to participate in these programs. After completing the webinars, participants will be able to print

completion certificates. Nurses completing both webinars will earn two hours of continuing

education.

These Continuing Nursing Education activities are grant funded through a Centers for Disease

Control (CDC) cooperative agreement number U58/DP000824-04. Texas Nurses Association/

Foundation Provider Unit is accredited as a provider of continuing nursing education by the

American Nurses Credentialing Center’s Commission on Accreditation. The Nurse Oncology

Education Program (NOEP) is part of the Texas Nurses Association/Foundation Provider Unit.

Most states recognize contact hours awarded by ANCC accredited providers. Contact the board of

nursing in your state with any question, comments or concerns regarding reporting of contact hours

as related to licensure requirements.

Ovarian Cancer Continuing Nursing Education

Offered Through Nurse Oncology Education

Program

By Caroline Schlatt,

WV Ovarian Cancer Initiative

131313 PROVIDER PRESS

WVBCCSP Welcomes New Staff Members

Tracking and Follow-Up Nurse,

Rikki Goff

Rikki, the new Tracking and Follow-up Nurse for WVBCCSP,

grew up in Hurricane, WV. She received her nursing degree from

Marshall University/St. Mary’s School of Nursing. She worked as a

floor/charge nurse at Thomas Memorial Hospital for five years.

Although Rikki is single with no children, she does have three

younger brothers, ranging from four to 22 years old, to keep her

busy.

Rikki loves music and anything outdoors, especially in the summer.

She also loves to travel.

Rikki tries to be a positive person and have a positive outlook on

life. She loves working with positive people as well as being in a

good work environment. She feels like working at WVBCCSP is a

good fit for her. Rikki is really excited to have the opportunity to

work at WVBCCSP and looks forward to many good years with the

program.

Nurse Case Manager,

Ashley Whitney-Cassis

Ashley Whitney-Cassis is the new Nurse Case Manager for

WVBCCSP, in Region C. Ashley is from Ravenswood, WV, in

Jackson County. She earned her Associate in Nursing and Associate

in Arts degrees, with an emphasis in Psychology, in 2007 from West

Virginia University (WVU) at Parkersburg. She then received her

Bachelor of Science in Nursing from WVU in 2010. She worked at

what is now Camden-Clark Medical Center Memorial Division for

five years as a staff/charge nurse. During this time she also worked

part-time for a waiver program at the Jackson County Development

Center. Then Ashley moved to Charleston and worked at Charleston

Area Medical Center General Division for one year, before coming to

work for WVBCCSP. She has been married for almost a year.

Ashley enjoys reading, cooking, and family activities. She dislikes

being sick, all of winter, and disrespect toward and from others.

Ashley is ecstatic to try her hand at case management as she has been

interested in this role for some time.

141414 PROVIDER PRESS

This newsletter is for providers participating in the

WVBCCSP and WISEWOMAN programs. If you would

like to contribute information or article ideas for the next

edition of the Provider Press, please contact:

Editors

Pam Postalwait, RN

Clinical Services Coordinator

Pam.A.Postalwait@wv.gov

Vickie Burke

Outreach and Education Coordinator

vburke@hsc.wvu.edu

This publication was supported by cooperative

agreement under DP07-703 from the

Centers for Disease Control and Prevention (CDC).